| NPI | 1356776777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78800) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2017-10-30 |