| NPI | 1760801518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 87667) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 87667) |
| 101YM0800X Counselor Mental Health (Licence: CA ASW87667) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-05-01 |