| NPI | 1578191169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106953) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 87788) |
| 1041C0700X Social Worker, Clinical (Licence: CA 87788) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2022-08-25 |