| NPI | 1477969079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW90858) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101Y00000X Counselor | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-10-14 |