| NPI | 1780958413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94267) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 88721) |
| 101Y00000X Counselor (Licence: CA 35524) | |
| 101Y00000X Counselor (Licence: CA 94267) | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2023-08-17 |