| NPI | 1851466908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 24682) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 17121) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-04-04 |