| NPI | 1053719138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW63657) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 63657) | |
| 104100000X Social Worker (Licence: CA ASW63657) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2022-12-16 |