| NPI | 1265810139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 82180) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 66960) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2021-04-02 |