| NPI | 1093838518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW#27345) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW16650) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2015-05-15 |