| NPI | 1255790846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW84872) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LCSW84872) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2023-11-10 |