| NPI | 1619216660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW93239) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77803) |
| 1041C0700X Social Worker, Clinical (Licence: CA 93239) | |
| 1041S0200X Social Worker, School (Licence: CA 93239) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2022-01-06 |