| NPI | 1790137362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 96238) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 72022) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-11-22 |