| NPI | 1841622875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 77071) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW32609) |
| 104100000X Social Worker (Licence: CA ASW 36209) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2017-07-27 |