| NPI | 1235500091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 111168) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 89378) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2023-01-09 |