| NPI | 1538593611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 64368) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2018-11-16 |