| NPI | 1396749230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20799) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LCS 20799) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2010-10-19 |