| NPI | 1700336161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101337) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84511) |
| 104100000X Social Worker (Licence: CA 84511) | |
| 104100000X Social Worker (Licence: CA LCSW101337) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2021-06-03 |