| NPI | 1992892939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS11375) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT16488) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-12-08 |