| NPI | 1477804227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW36736) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2019-11-29 |