| NPI | 1609326867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW119232) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW83955) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2023-11-15 |