| NPI | 1093014177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LR11230) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MB20760) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2013-07-22 |