| NPI | 1083264659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW110236) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW89480) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2023-03-17 |