| NPI | 1629506688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97263) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77356) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2021-09-01 |