| NPI | 1841757309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW126774) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW85238) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW85238) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2024-10-31 |