| NPI | 1598895401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS 29647) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW20097) |
| 1041C0700X Social Worker Clinical (Licence: CA ASW 33071) | |
| 101YM0800X Counselor Mental Health (Licence: CA ASW33071) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-06-26 |