| NPI | 1275814642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82710) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW76766) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW76766) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2018-06-04 |