| NPI | 1841630662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83069) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 36702) |
| 101YM0800X Counselor, Mental Health (Licence: CA 36702) | |
| 104100000X Social Worker (Licence: CA 36702) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-09-11 |