| NPI | 1205344231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 85446) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2019-04-16 |