| NPI | 1184057747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW93244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW67284) |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2021-12-01 |