| NPI | 1205313871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW106629) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW83121) |
| 104100000X Social Worker (Licence: CA ASW83121) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2022-02-14 |