| NPI | 1588825269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 50467) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48797) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-02-01 |