| NPI | 1962986711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LCSW106117) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW85413) |
| 1041C0700X Social Worker Clinical (Licence: CA LCSW106117) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2023-09-17 |