| NPI | 1629336557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 71618) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 33545) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2023-01-31 |