| NPI | 1497194898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 82511) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 35571) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-04-27 |