| NPI | 1437323003 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29497)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2008-04-15 | 
| Last Update Date | 2022-01-31 |