| NPI | 1740990860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 136383) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 136383) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2024-12-04 |