| NPI | 1366893422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91776) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW73800) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2019-09-27 |