| NPI | 1063794923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 66380) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health (Licence: CA 27814) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2016-01-28 |