| NPI | 1194073510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW73674) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW33280) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-05-12 |