| NPI | 1437599289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW69646) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA D4971408) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2015-12-03 |