| NPI | 1790327625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114899) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 91273) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2023-10-30 |