| NPI | 1659529121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76043) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 28418) |
| 101YM0800X Counselor, Mental Health (Licence: CA 71430) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2022-11-21 |