| NPI | 1982120499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW83233) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW83233) | |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW102091) | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2023-09-26 |