| NPI | 1053507079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27782) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: CA 27782) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2014-12-19 |