| NPI | 1316348436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW106066) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW102525) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW66945) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW66945) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2021-12-14 |