| NPI | 1275066193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97269) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 83876) |
| 1041C0700X Social Worker, Clinical (Licence: CA 83876) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2021-08-31 |