| NPI | 1821576828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 104102) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health (Licence: CA 81461) | |
| 104100000X Social Worker (Licence: CA 81461) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-06-02 |