| NPI | 1821509381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW118335) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW80669) |
| 104100000X Social Worker (Licence: CA 80669) | |
| 1041C0700X Social Worker Clinical (Licence: CA ASW80669) | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2023-10-12 |