| NPI | 1558896308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 70310) |
| 101YP2500X Counselor, Professional (Licence: CA 108769) | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2023-01-03 |