| NPI | 1407149131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97257) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW 73704) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2021-06-19 |