| NPI | 1760838601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83728) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 83728) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2020-11-18 |