| NPI | 1770821282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 34609) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2019-09-27 |