| NPI | 1558558080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24875) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW24875) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2023-02-23 |