| NPI | 1023007572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 5376) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 8177) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2014-10-29 |