| NPI | 1477841666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 71775) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 30606) |
| 101YM0800X Counselor, Mental Health (Licence: CA 30606) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2023-06-27 |