| NPI | 1912330309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82607) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 67075) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW67075) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-05-10 |