| NPI | 1336634427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101343) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW83446) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-09-12 |