| NPI | 1356421523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25491) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 17377) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-02-26 |