| NPI | 1639294192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86794) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW33877) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-02-23 |