| NPI | 1609957299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120193) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 75017) |
| 104100000X Social Worker (Licence: CA 112531) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 75017) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-06-03 |