| NPI | 1487990487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105447) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105447) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2023-06-16 |