| NPI | 1346509262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73889) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA asw36384) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC694) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2016-10-31 |