| NPI | 1679939839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 74289) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2020-12-02 |