| NPI | 1508472911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 116651) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 95536) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2024-08-08 |