| NPI | 1255791968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 92638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05665400) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2023-04-11 |