| NPI | 1972901593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW93127) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW63374) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2021-05-27 |