| NPI | 1891278156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115437) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW90010) |
| 101YP2500X Counselor, Professional (Licence: CA ASW90010) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-07-13 |