| NPI | 1972098291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103345) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 83362) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2021-09-03 |