| NPI | 1083388938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW122065) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW95493) |
| 1041C0700X Social Worker Clinical (Licence: CA ACSW95493) | |
| 101YM0800X Counselor Mental Health (Licence: CA 95493) | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2024-05-31 |