| NPI | 1245624949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70594) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 2123) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2016-11-30 |