| NPI | 1669964748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW117705) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW92387) |
| 104100000X Social Worker (Licence: CA ACSW92387) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-10-05 |