| NPI | 1083382337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW108772) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW87215) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW87215) | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-09-01 |