| NPI | 1316498579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 91125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 91125) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2023-10-11 |