| NPI | 1992467054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 110914) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 110914) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2024-04-11 |