| NPI | 1316504335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 106178) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 83390) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2023-08-17 |