| NPI | 1164882940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW78087) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62480) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2024-07-01 |