| NPI | 1699337840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 107863) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 99418) |
| 101YM0800X Counselor Mental Health (Licence: CA 65084) | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2023-03-29 |