| NPI | 1780096883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 90760) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA 65386) | |
| 104100000X Social Worker (Licence: CA 65386) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2020-01-13 |