| NPI | 1356747265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA Lcsw98432) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW63602) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2021-09-13 |