| NPI | 1730623828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 73600) |
| 104100000X Social Worker (Licence: CA 73600) | |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2021-04-01 |