| NPI | 1699808188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70118) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW70118) | |
| 104100000X Social Worker (Licence: CA ASW31444) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-09-25 |