| NPI | 1841571205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 76462) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2017-06-13 |