| NPI | 1285750133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 29885) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 225400000X Rehabilitation Practitioner | |
| 101YM0800X Counselor Mental Health (Licence: CA 29885) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-12-10 |