| NPI | 1235326786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 65807) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 4353) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: HI 4353) | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2022-03-14 |