| NPI | 1457971897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 94449) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 94449) |
| 1041C0700X Social Worker, Clinical (Licence: CA 94449) | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2024-03-07 |