| NPI | 1417494675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108152) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 72699) |
| 101YM0800X Counselor, Mental Health (Licence: CA 72699) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-10-11 |