| NPI | 1316142581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99835) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW21755) |
| 101YM0800X Counselor, Mental Health (Licence: CA 36620) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-03-19 |