| NPI | 1376897686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70791) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 34815) |
| 104100000X Social Worker (Licence: CA ASW 34815) | |
| 1041C0700X Social Worker, Clinical (Licence: FL 20700) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2023-02-02 |