| NPI | 1407011372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS 21390) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCS 213) |
| 106H00000X Marriage & Family Therapist (Licence: CA LCS 23190) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |