| NPI | 1649623547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW104835) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71641) |
| 104100000X Social Worker (Licence: CA ASW71641) | |
| 104100000X Social Worker (Licence: CA LSCW104835) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2022-07-21 |