| NPI | 1184104374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 84910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 84910) |
| 104100000X Social Worker (Licence: CA 84910) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2020-02-21 |