| NPI | 1639555725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 88010) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 71980) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2019-05-23 |