| NPI | 1184050494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99119) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 66356) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW66356) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2024-01-30 |