| NPI | 1265622856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW18383) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW 18383) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2013-02-15 |