| NPI | 1700137098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96436) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 63336) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2020-09-24 |