| NPI | 1255671707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 29136) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 29136) |
| 104100000X Social Worker (Licence: CA 29136) | |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |