| NPI | 1346538865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 98646) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2023-08-03 |