| NPI | 1356824924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108446) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67999) |
| 101YM0800X Counselor, Mental Health (Licence: CA 103610) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2022-09-01 |