| NPI | 1063938777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116635) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW95392) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW95392) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2023-07-25 |