| NPI | 1205278793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87299) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 87299) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2020-10-21 |