| NPI | 1194739722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 10623) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LJ10623) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-11-11 |