| NPI | 1104950310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76753) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 30317) |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW18018) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-09-30 |