| NPI | 1457697641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126352) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 35192) |
| 104100000X Social Worker (Licence: CA ASW97297) | |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2024-12-27 |