| NPI | 1801927868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS 25260) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW20421) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-03-12 |