| NPI | 1063841500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 83418) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW69125) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2018-06-21 |