| NPI | 1912366485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 78542) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2019-08-21 |