| NPI | 1487133195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW110970) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW101545) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2024-09-10 |