| NPI | 1699200329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW167772) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS16772) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2021-05-12 |