| NPI | 1871821983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125243) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102560) |
| 101Y00000X Counselor (Licence: CA 102560) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2024-08-17 |