| NPI | 1467701367 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 59835)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 171M00000X Case Manager/Care Coordinator | |
| 225400000X Rehabilitation Practitioner | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW59835)  | |
| Enumeration Date | 2012-09-06 | 
| Last Update Date | 2016-08-31 |