| NPI | 1316347487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 63724) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 63724) |
| 101YM0800X Counselor, Mental Health (Licence: CA 63724) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-10-02 |