| NPI | 1477938702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW122037) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW97994) |
| 104100000X Social Worker (Licence: CA ASW97994) | |
| 104100000X Social Worker (Licence: CA LCSW122037) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2024-06-05 |