| NPI | 1922656537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118322) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90079) |
| 101YM0800X Counselor, Mental Health (Licence: CA 90079) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-10-17 |