| NPI | 1831523968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 99622) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW92489) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2021-02-24 |