| NPI | 1659775609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW111174) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW111174) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW89793) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-04-03 |