| NPI | 1316504673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126188) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: CA 98505) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 98505) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2024-09-26 |