| NPI | 1528342953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 68433) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW31223) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2021-04-23 |