| NPI | 1689226904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121216) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 104100000X Social Worker (Licence: CA 995840) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-04-02 |