| NPI | 1700214806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92972) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW 74507) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2023-01-18 |