| NPI | 1235512690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100498) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW71917) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW71917) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-01-30 |