| NPI | 1992932065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW61053) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW35537) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2015-11-23 |