| NPI | 1336692912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 91838) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 91838) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2023-08-16 |