| NPI | 1083745780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW26225) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA LCS 26225) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-06-02 |