| NPI | 1417919564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100899) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW86333) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW35154) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-04-12 |