| NPI | 1336630557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW121205) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW81704) |
| 101YM0800X Counselor Mental Health (Licence: CA ASW81704) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-03-11 |