| NPI | 1669811758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 35811) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 35811) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2015-03-23 |