| NPI | 1033371877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76525) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CA ASW70758) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2017-06-19 |