| NPI | 1831645068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99647) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71505) |
| 101YM0800X Counselor, Mental Health (Licence: CA 99647) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-02-25 |