| NPI | 1992828107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 84769) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker (Licence: CA ASW68892) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-08-28 |