| NPI | 1174665343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 13252) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-04-27 |