| NPI | 1598186405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 99351) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 36587) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2021-01-26 |