| NPI | 1386021301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92906) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 59998) |
| 1041C0700X Social Worker, Clinical (Licence: CA 59998) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2021-03-03 |