| NPI | 1629418876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 36752) |
| 104100000X Social Worker (Licence: CA 36752) | |
| 101Y00000X Counselor (Licence: CA 36752) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2019-02-11 |