| NPI | 1881303303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 104557) |
| 101YM0800X Counselor, Mental Health (Licence: CA 104557) | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2023-07-10 |