| NPI | 1699272666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW115292) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94253) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: CA ACSW94253) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-05-22 |