| NPI | 1699894097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW71110) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 20920) |
| 1041C0700X Social Worker Clinical (Licence: CA 34689) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-10-06 |