| NPI | 1942459235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW 36418) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW 36418) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW 36418) | |
| 101YP2500X Counselor, Professional (Licence: CA ASW 36418) | |
| 103K00000X Behavior Analyst (Licence: CA ASW 36418) | |
| 104100000X Social Worker (Licence: CA ASW 36418) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2017-02-21 |