| NPI | 1184996688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81552) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA ASW32185) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2018-02-06 |