| NPI | 1215007281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW 16669) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 171W00000X Contractor (Licence: CA LCSW 16669) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-06-10 |