| NPI | 1972089902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 107779) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 89854) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2022-05-04 |