| NPI | 1215018791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24188) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 16898) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-06-17 |