| NPI | 1144452095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW87331) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM X-07318) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2022-09-20 |