| NPI | 1568847937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 64725) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2024-06-21 |