| NPI | 1639428568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86751) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63662) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-09-17 |