| NPI | 1508169517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82043) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CA ASW63403) | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2018-05-11 |