| NPI | 1467887505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 59866) | |
| 104100000X Social Worker (Licence: CA 59866) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2020-07-17 |