| NPI | 1659885622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108464) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2023-09-13 |