| NPI | 1043683576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76471) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62502) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2017-11-15 |