| NPI | 1023347952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101566) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 66313) |
| 101YM0800X Counselor, Mental Health (Licence: CA 101566) | |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2023-06-26 |