| NPI | 1033403027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69748) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081728-1) |
| 101Y00000X Counselor (Licence: CA 32710) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2016-02-16 |