| NPI | 1184818015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 97185) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 97185) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2023-02-03 |