| NPI | 1497096002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83142) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW35736) |
| 1041C0700X Social Worker, Clinical (Licence: CA 82142) | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2022-02-11 |