| NPI | 1194198226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 90439) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 74584) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2019-08-01 |