| NPI | 1720462070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100046) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW73617) |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW100046) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-08-09 |