| NPI | 1679974133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 87159) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 66743) |
| 1041C0700X Social Worker Clinical (Licence: CA 66743) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-03-24 |