| NPI | 1710353040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW87946) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW8746) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2019-03-11 |