| NPI | 1558430595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 8432) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 17527) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2013-09-09 |