| NPI | 1245479492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW74784) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 24648) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2019-02-03 |