| NPI | 1689127136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102728) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW83342) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-03-10 |