| NPI | 1861550238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW29350) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 22295) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2022-01-24 |