| NPI | 1851873939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98509) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103301) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2021-08-16 |