| NPI | 1568624906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75658) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW27530) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2017-03-15 |