| NPI | 1881078434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW60157) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW60157) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW60157) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-12-10 |