| NPI | 1558659797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 76466) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 62797) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2019-08-16 |