| NPI | 1366704165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW77192) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW33364) |
| 1041C0700X Social Worker, Clinical (Licence: ASW 33364) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2017-09-14 |