| NPI | 1235769894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104592) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93013) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2021-10-15 |