| NPI | 1053723866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80887) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63150) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2017-12-26 |