| NPI | 1730651266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LCSW93117) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW74396) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2022-09-06 |