| NPI | 1255855680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95181) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW77449) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-08-15 |