| NPI | 1356691364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 69869) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2021-03-02 |