| NPI | 1457587040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW89128) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2022-03-01 |