| NPI | 1336449867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW34176) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2018-10-17 |