| NPI | 1295168227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW69533) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical (Licence: CA 34196) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2016-04-14 |