| NPI | 1487139143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104542) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 85308) |
| 104100000X Social Worker (Licence: CA 85308) | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2021-11-09 |