| NPI | 1649783127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW102890) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW77130) |
| 1041C0700X Social Worker Clinical (Licence: CA 77130) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2023-02-09 |