| NPI | 1306312707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 102870) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 83912) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-06-26 |