| NPI | 1184004566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW95417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW60615) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW93952) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2021-05-25 |