| NPI | 1376694232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW88621) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW22896) |
| 101YM0800X Counselor Mental Health (Licence: CA ACSW 59501) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-03-16 |