| NPI | 1538703285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 111387) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 90914) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2023-01-17 |