| NPI | 1326152745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25424) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW15035) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-04-16 |