| NPI | 1366730004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW95970) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW68133) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2023-09-27 |