| NPI | 1124453584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW82695) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW66697) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2018-05-18 |