| NPI | 1326462748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW77562) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 63887) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2020-03-18 |