| NPI | 1255717997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 83193) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 67875) | |
| 104100000X Social Worker (Licence: CA 67875) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2020-09-04 |