| NPI | 1528463544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101593) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67426) |
| 104100000X Social Worker (Licence: CA LCSW101593) | |
| 104100000X Social Worker (Licence: CA ASW67426) | |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2023-02-22 |