| NPI | 1114529906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120556) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97666) |
| 104100000X Social Worker (Licence: KS 11797) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 97666) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2024-02-14 |