| NPI | 1164893145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 117710) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker (Licence: CA 97760) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2023-10-05 |