| NPI | 1053565713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112644) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW75019) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2022-12-30 |