| NPI | 1417337809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 68006) |
| 104100000X Social Worker (Licence: CA 68006) | |
| 104100000X Social Worker (Licence: NY 093428) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-01-28 |