| NPI | 1659497204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW64748) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW30122) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW17983) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-01-02 |