| NPI | 1487721817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 26325) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 16946) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-03-29 |