| NPI | 1124449103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114191) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW90236) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2023-03-21 |