| NPI | 1629320882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW81015) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 36508) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2018-01-31 |