| NPI | 1639821200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97549) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-06-09 |