| NPI | 1033414651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82355) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW67454) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2024-04-19 |