| NPI | 1477114767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 95540) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 95540) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2021-04-16 |