| NPI | 1942665005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 69291) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2019-11-05 |