| NPI | 1578062550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW96003) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 78227) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW78227) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2020-11-14 |