| NPI | 1164770780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW87182) |
| Additional Taxonomies | 101Y00000X Counselor |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2022-03-08 |