| NPI | 1417456021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99862) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81607) |
| 101YM0800X Counselor, Mental Health (Licence: CA 81607) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2022-05-09 |