| NPI | 1073792701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 67607) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 67607) |
| 101YM0800X Counselor Mental Health (Licence: CA ASW 29160) | |
| 1041S0200X Social Worker School (Licence: CA 67607) | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2019-04-09 |