| NPI | 1255860524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76898) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW76898) |
| 101YM0800X Counselor, Mental Health (Licence: CA 76898) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-03-21 |