| NPI | 1386053817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113835) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW74884) |
| 1041C0700X Social Worker, Clinical (Licence: CA 1386053817) | |
| 101Y00000X Counselor (Licence: CA ASW74884) | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW74884) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2023-03-07 |