| NPI | 1952573479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 27994) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 28739) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW 17053) | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2013-07-16 |