| NPI | 1356523518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66050) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 18898) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2020-11-04 |