| NPI | 1154790749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 84362) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW65492) |
| 101Y00000X Counselor (Licence: CA ASW65492) | |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2019-02-06 |