| NPI | 1265829634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 66560) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 66560) | |
| 104100000X Social Worker (Licence: CA 66560) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2018-02-12 |