| NPI | 1578043808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW115125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ACSW83265) |
| 104100000X Social Worker (Licence: CA ACSW83265) | |
| 1041C0700X Social Worker Clinical (Licence: CA LCSW115125) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-07-27 |