| NPI | 1003169954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82670) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW62526) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW62526) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2022-08-31 |