| NPI | 1629588645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117985) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW94721) |
| 1041C0700X Social Worker, Clinical (Licence: CA 94721) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-09-14 |