| NPI | 1104393552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83787) |
| 104100000X Social Worker (Licence: CA 83787) | |
| 104100000X Social Worker (Licence: CA LCSW102613) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-09-21 |