| NPI | 1396099123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 88001) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 34802) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2023-06-30 |