| NPI | 1679762512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW99035) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA ASW92470) |
| 104100000X Social Worker (Licence: CA ASW60012) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2021-01-19 |