| NPI | 1740658798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 92771) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW73083) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2021-10-27 |