| NPI | 1518505759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA 79202) | |
| 104100000X Social Worker (Licence: CA ASW79202) | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2022-09-14 |