| NPI | 1871963512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 92728) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW68329) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2019-11-01 |