| NPI | 1568972651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100784) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW79043) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2021-04-16 |