| NPI | 1013303809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87702) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 65842) | |
| 104100000X Social Worker (Licence: CA 65842) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-07-30 |