| NPI | 1104044452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114406) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA ASW81979) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW81979) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW81979) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-03-23 |