| NPI | 1053896498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102394) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 83258) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2021-08-24 |