| NPI | 1710438890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116504) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77456) |
| 1041C0700X Social Worker, Clinical (Licence: CA 77456) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2023-07-27 |