| NPI | 1497888622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29802) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 26303) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW29802) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-06-14 |