| NPI | 1518526292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 89944) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 89944) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2024-09-10 |