| NPI | 1477698652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 29016) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 29016) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-05-14 |