| NPI | 1063774826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86980) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 3209) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2021-08-23 |