| NPI | 1184996894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS9786) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LCS9786) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |