| NPI | 1124565197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW121388) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW99384) |
| 225400000X Rehabilitation Practitioner | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW99384) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2024-03-07 |