| NPI | 1124153747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69343) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA 30191) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 30191) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-08-01 |