| NPI | 1588000855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78658) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 27692) |
| 104100000X Social Worker (Licence: CA ASW70441) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2019-03-13 |