| NPI | 1518453257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83497) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2020-12-23 |