| NPI | 1730692542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 105489) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 79847) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2021-11-15 |