| NPI | 1255451605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27415) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 20553) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-12-04 |