| NPI | 1649620196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104948) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 104948) |
| 1041C0700X Social Worker, Clinical (Licence: CA 71246) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-04-22 |