| NPI | 1932358645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW63278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW28370) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2014-09-22 |