| NPI | 1245780923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW107234) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW73760) |
| 104100000X Social Worker (Licence: CA ASW73760) | |
| 104100000X Social Worker (Licence: CA LCSW107234) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2022-06-23 |