| NPI | 1245606896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA ACSW 74115) | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2022-02-10 |