| NPI | 1568845774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW98957) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW72408) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-12-28 |