| NPI | 1487198305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW105530) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 77547) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-04-01 |