| NPI | 1124376207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 80865) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 60160) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2023-01-17 |