| NPI | 1396091617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW79627) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW34564) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2019-07-09 |