| NPI | 1982155800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW106506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78785) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2022-01-24 |