| NPI | 1053660621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75531) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW36127) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW36127) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2017-04-03 |