| NPI | 1730432550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88530) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW60866) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2019-04-30 |