| NPI | 1730635210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91128) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 72765) |
| 101YM0800X Counselor, Mental Health (Licence: CA 72765) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2020-04-15 |