| NPI | 1669812350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 94243) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 77832) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-06-10 |