| NPI | 1497330385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW98802) |
| 101YM0800X Counselor, Mental Health (Licence: CA 98802) | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2023-08-16 |