| NPI | 1497146526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 92168) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 70364) |
| 101YM0800X Counselor, Mental Health (Licence: CA 70364) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-12-18 |