| NPI | 1689914244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW87579) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2023-07-03 |