| NPI | 1649681628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88334) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW68590) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2019-05-01 |