| NPI | 1376970186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75955) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 75955) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2024-07-22 |