| NPI | 1083013841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82309) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 68889) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2018-10-16 |