| NPI | 1740834258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 90954) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 1041C0700X Social Worker, Clinical (Licence: CA 90954) | |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2021-03-29 |