| NPI | 1922497080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63393) |
| 101Y00000X Counselor | |
| 104100000X Social Worker (Licence: CA 63393) | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2021-05-07 |