| NPI | 1902275985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 21156) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO LEP2752) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-06-07 |