| NPI | 1013217868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99566) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62113) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW99566) | |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: CA 62113) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2023-09-05 |