| NPI | 1326242033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 84763) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW12323) |
| 104100000X Social Worker (Licence: CA ASW12323) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2018-09-14 |