| NPI | 1467963819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82254) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 82254) |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-08-30 |