| NPI | 1720153828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 64689) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 19710) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-06-03 |