| NPI | 1346621901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS81617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 64075) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2020-04-09 |