| NPI | 1396871802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 60841) |
| 101YP2500X Counselor, Professional (Licence: CA 60841) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-11-03 |