| NPI | 1386150795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW118331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW80980) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: CA ASW80980) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2023-11-29 |