| NPI | 1609273853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW95012) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 63237) |
| 1041S0200X Social Worker, School (Licence: CA LCSW95012) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2022-06-08 |