| NPI | 1932564960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91212) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 69160) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2019-09-06 |