| NPI | 1386702801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCS10522) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC19098) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-12-06 |