| NPI | 1861884553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114477) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 75879) |
| 101YM0800X Counselor, Mental Health (Licence: CA 114477) | |
| 104100000X Social Worker (Licence: CA 75879) | |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2023-06-16 |