| NPI | 1669789384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW72279) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101YM0800X Counselor, Mental Health (Licence: CA 31066) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2017-03-22 |