| NPI | 1033273420 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 4390) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 7544) | 
| Enumeration Date | 2006-12-20 | 
| Last Update Date | 2010-09-01 |