| NPI | 1629469085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW81553) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW81553) | |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2019-12-11 |