| NPI | 1023506342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW114006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 82253) |
| 1041C0700X Social Worker, Clinical (Licence: CA 82253) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2023-03-07 |