| NPI | 1346558772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117856) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 82093) |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health (Licence: CA 82093) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2023-10-11 |