| NPI | 1114320421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW101963) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW79920) |
| 104100000X Social Worker (Licence: CA 79920) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW101963) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2023-06-15 |