| NPI | 1053830232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101321) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW79313) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2023-06-27 |