| NPI | 1982104394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97169) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97169) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2024-06-07 |