| NPI | 1518253715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69386) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 33809) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2024-12-16 |