| NPI | 1558510263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW29645) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2022-07-21 |