| NPI | 1417417296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW106513) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW106513) |
| 104100000X Social Worker | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-07-22 |