| NPI | 1891183067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW89026) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW 37327) |
| 104100000X Social Worker (Licence: CA ASW37327) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW 37327) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2021-01-07 |