| NPI | 1639451834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW # 34238) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 76567) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2023-05-17 |