| NPI | 1376916031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110412) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67388) |
| 101YM0800X Counselor, Mental Health (Licence: CA 103608) | |
| 104100000X Social Worker (Licence: CA 67388) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2023-09-26 |