| NPI | 1821422692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW88874) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2023-05-30 |