| NPI | 1497903181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 31282) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2017-06-01 |