| NPI | 1720551799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 118673) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW95424) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW95424) | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2024-07-23 |