| NPI | 1023312923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69395) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 34115) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2018-02-08 |