| NPI | 1710339650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107813) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89556) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2021-11-19 |