| NPI | 1184747792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 60529) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: CA ASW 26325) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-11-02 |