| NPI | 1497002042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW78801) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA ASW63203) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 78801) | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2021-08-02 |