| NPI | 1548639750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95144) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 74120) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2023-09-20 |