| NPI | 1871960963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 84597) |
| 101YM0800X Counselor, Mental Health (Licence: CA 84597) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2023-11-08 |