| NPI | 1396183489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 71693) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW11619) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW11619) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2021-06-10 |