| NPI | 1568977452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 119152) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 96358) |
| 104100000X Social Worker (Licence: CA 96358) | |
| 1041C0700X Social Worker Clinical (Licence: CA 96358) | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2023-11-20 |