| NPI | 1053855346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW105654) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW75101) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2022-10-03 |