| NPI | 1760869440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88395) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW66141) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2021-11-09 |