| NPI | 1336471689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW72049) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 28390) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2016-08-05 |