| NPI | 1598123143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW79378) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW31473) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2021-06-10 |