| NPI | 1811365638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101798) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 1811365638) |
| 104100000X Social Worker (Licence: CA 101798) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2022-01-19 |