| NPI | 1083876635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28282) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 16960) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW 28244) | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW 28244) | |
| 101YM0800X Counselor, Mental Health (Licence: CA LCS 28282) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2018-09-04 |