| NPI | 1912338781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 77208) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 36823) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2021-01-12 |