| NPI | 1215294871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS15519) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS15519) |
| 104100000X Social Worker (Licence: CA LCS15519) | |
| 1041S0200X Social Worker, School (Licence: CA LCS15519) | |
| 106H00000X Marriage & Family Therapist (Licence: CA LCS15519) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2017-02-24 |