| NPI | 1306096656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76107) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 34174) |
| 101Y00000X Counselor | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2017-03-20 |