| NPI | 1285908939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 92157) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 74906) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2024-04-30 |