| NPI | 1215488804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78469) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2021-02-18 |