| NPI | 1396262754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW107229) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW83659) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 107229) | |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2023-09-25 |