| NPI | 1861050726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 81758) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: CA 81758) | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-03-01 |