| NPI | 1144611773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 89596) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW72395) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2024-07-05 |