| NPI | 1144450982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88256) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CA ASW 36861) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 202345) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-11-29 |