| NPI | 1558557561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74881) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW 33167) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2017-02-07 |