| NPI | 1205137726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86374) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 25943) |
| 104100000X Social Worker (Licence: CA 25943) | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2024-04-26 |