| NPI | 1932701349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96194) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW96194) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2021-05-12 |