| NPI | 1548507882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW 31925) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 31925) |
| 106H00000X Marriage & Family Therapist (Licence: CA ASW 31925) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |