| NPI | 1396185955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW72284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW36169) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2016-07-18 |