| NPI | 1881138295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93207) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW60476) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2020-11-30 |