| NPI | 1962806430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW62609) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW89321) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2020-12-30 |