| NPI | 1639577109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 99513) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW63218) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2024-11-04 |