| NPI | 1750896387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW125252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW95650) |
| 1041C0700X Social Worker, Clinical (Licence: CA 125252) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2024-10-22 |