| NPI | 1588147805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 90295) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2019-07-17 |