| NPI | 1497304539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW109812) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW89536) |
| 101YM0800X Counselor, Mental Health (Licence: CA 89536) | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2022-09-20 |