| NPI | 1487634895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCS15404) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC25527) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |