| NPI | 1174905897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93440) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67549) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2021-08-19 |