| NPI | 1871083196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW81400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 81400) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2019-12-07 |