| NPI | 1679026470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW66963) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2019-10-16 |