| NPI | 1245549906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW66107) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 28904) |
| 101YM0800X Counselor, Mental Health (Licence: CA 28904) | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW28904) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2018-11-18 |