| NPI | 1518211994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73570) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW # 34275) |
| 1041C0700X Social Worker, Clinical (Licence: CA 34275) | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2016-11-10 |