| NPI | 1083007702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 121581) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 110575) |
| 104100000X Social Worker (Licence: CA 110575) | |
| 104100000X Social Worker (Licence: CA 73466) | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2024-03-15 |