| NPI | 1255464723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW 23974) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 13832) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-08-27 |