| NPI | 1154591659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81022) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 32928) |
| 104100000X Social Worker | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2020-04-20 |