| NPI | 1649529652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79667) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW36195) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2018-09-27 |