| NPI | 1497232110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120357) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: NY 105487-1) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2024-04-13 |