| NPI | 1194988196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 68111) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 24300) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-05-06 |