| NPI | 1497203095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 98164) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2023-11-17 |