| NPI | 1457587081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102752) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW69635) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2024-06-17 |