| NPI | 1518433556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 102674) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 84161) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-08-10 |