| NPI | 1457775074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-39974) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW 73833) |
| 1041C0700X Social Worker, Clinical (Licence: CA 73833) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2024-04-22 |