| NPI | 1871048512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88475) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW72268) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21183) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-01-16 |