| NPI | 1033477849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA lcsw96045) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: CA 70572) | |
| 1041C0700X Social Worker, Clinical (Licence: CA acsw70572) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2022-01-28 |