| NPI | 1497489512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 108611) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-06-01 |