| NPI | 1740632421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72328) |
| 1041C0700X Social Worker, Clinical (Licence: CA 1041C0700X) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2021-01-26 |