| NPI | 1073848735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 23809) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 23809) |
| 1041C0700X Social Worker Clinical (Licence: TX 68899) | |
| 1041S0200X Social Worker School (Licence: CA 23809) | |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2022-04-20 |