| NPI | 1629457486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256249) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health (Licence: CA 94751) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 94751) | |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: KY 7251) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2021-11-22 |