| NPI | 1386750560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW5809) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT7732) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-11-16 |