| NPI | 1497872147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS23993) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW13811) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-05-18 |