| NPI | 1851603328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW109849) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW79774) |
| 104100000X Social Worker (Licence: CA LCSW109849) | |
| 104100000X Social Worker (Licence: CA ASW79774) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2022-09-16 |