| NPI | 1528291838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70969) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 31963) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2022-05-25 |