| NPI | 1467833533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99489) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 65352) |
| 1041C0700X Social Worker, Clinical (Licence: CA 65352) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-05-17 |