| NPI | 1003906975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24379) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 15578) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-11-13 |