| NPI | 1811221039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW23947) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional (Licence: CA ASW#23947) | |
| 104100000X Social Worker | |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-12-11 |