| NPI | 1275907545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW108499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW101181) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CA 108499) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2022-12-19 |