| NPI | 1043510209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 68921) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW33729) |
| 101Y00000X Counselor | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2015-10-09 |