| NPI | 1396166419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW78050) |
| 225400000X Rehabilitation Practitioner | |
| 101YM0800X Counselor, Mental Health (Licence: CA 78050) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2021-04-06 |