| NPI | 1538441969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83724) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 33656) |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2018-07-23 |