| NPI | 1639403884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79014) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 33576) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2018-05-16 |