| NPI | 1497257927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW104864) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW104864) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 104864) | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2023-07-27 |