| NPI | 1720375769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78105) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62343) |
| 101Y00000X Counselor (Licence: CA 62343) | |
| 104100000X Social Worker (Licence: CA 62343) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904010803) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2023-02-18 |