| NPI | 1346445418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 78387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW78387) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2021-03-02 |