| NPI | 1689923286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW132609) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW103084) |
| 104100000X Social Worker (Licence: CA ACSW103084) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW103084) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2025-07-31 |