| NPI | 1790244325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 110098) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 86559) |
| 104100000X Social Worker (Licence: CA 86559) | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2023-06-28 |