| NPI | 1013049642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99644) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW36153) |
| 104100000X Social Worker (Licence: CA ASW 22007) | |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW99644) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-03-18 |