| NPI | 1023419207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW103344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW71884) |
| 104100000X Social Worker (Licence: CA ASW71884) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2021-09-08 |