| NPI | 1376813717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW71145) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW28972) |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW71145) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2017-02-01 |