| NPI | 1548629769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92003) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW69970) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2019-09-26 |