| NPI | 1437597440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 72140) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW004929) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011768) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2020-09-11 |