| NPI | 1376052258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112070) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW89338) |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2022-11-21 |