| NPI | 1790448645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 104784) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 104784) |
| 101YM0800X Counselor Mental Health (Licence: CA 104784) | |
| 104100000X Social Worker (Licence: CA 104784) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-11-11 |