| NPI | 1427367507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73333) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW33681) |
| 101Y00000X Counselor (Licence: CA ASW33681) | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2016-09-26 |