| NPI | 1184050056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW81718) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63400) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2018-04-13 |