| NPI | 1467655266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70924) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW22649) | |
| 1041C0700X Social Worker, Clinical (Licence: LCSW70924) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2018-08-10 |