| NPI | 1043614969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93936) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77940) |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2024-04-24 |