| NPI | 1932550407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 90784) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77865) |
| 104100000X Social Worker (Licence: MI 6801099324) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-10-07 |