| NPI | 1972037646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98189) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98189) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2021-07-13 |