| NPI | 1477874428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75047) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW73054) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2016-12-22 |