| NPI | 1104362441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW119647) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW72443) |
| 101YM0800X Counselor, Mental Health (Licence: CA ACSW110285) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW110285) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2023-12-19 |