| NPI | 1629581210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW101462) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW79695) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-08-29 |