| NPI | 1790914505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW118797) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW78283) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW78283) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 78282) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2024-03-15 |