| NPI | 1679191753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 95488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 95488) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-06-27 |