| NPI | 1700306511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102616) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101YM0800X Counselor, Mental Health (Licence: CA 78602) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 78602) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2021-08-20 |