| NPI | 1487198651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101361) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 69425) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2022-10-17 |