| NPI | 1225434715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW78704) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW63975) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2018-03-17 |