| NPI | 1144870304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 91902) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 117732) |
| 101YM0800X Counselor, Mental Health (Licence: CA 91902) | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2023-08-30 |