| NPI | 1215193305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73763) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 60001) |
| 101YM0800X Counselor, Mental Health (Licence: CA 60001) | |
| 104100000X Social Worker (Licence: CA 60001) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2018-03-17 |