| NPI | 1881736494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 21340) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW21340) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-04-14 |