| NPI | 1689169518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 110934) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 89625) |
| 1041C0700X Social Worker Clinical (Licence: CA 89625) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2023-10-16 |