| NPI | 1104150697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW66069) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 104100000X Social Worker (Licence: CA ASW 30615) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 30615) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2015-04-29 |