| NPI | 1124466248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99848) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW75320) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW75320) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW75320) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2021-04-27 |