| NPI | 1174050652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 110256) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW73758) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW73758) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-06-21 |