| NPI | 1043354533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 26782) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 26782) |
| 101YP2500X Counselor Professional (Licence: CA 26782) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-06-09 |