| NPI | 1578878872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79584) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA B8300873) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2022-01-20 |