| NPI | 1285142547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108047) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84995) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-05-25 |