| NPI | 1245741644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW107495) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW79611) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2022-09-16 |