| NPI | 1821583485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CA 102622) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84650) |
| 1041C0700X Social Worker, Clinical (Licence: CA 102622) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-11-28 |