| NPI | 1598062705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW69875) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 69875) |
| 104100000X Social Worker (Licence: CA 30421) | |
| 104100000X Social Worker (Licence: CA 69875) | |
| 104100000X Social Worker (Licence: CA LCSW69875) | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2023-07-11 |