| NPI | 1366843849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74070) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 63678) |
| 101YM0800X Counselor, Mental Health (Licence: CA 63678) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2017-10-04 |