| NPI | 1508301334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 75801) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 75801) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2020-06-11 |