| NPI | 1568710713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 30177) |
| 1041C0700X Social Worker, Clinical (Licence: CA 30177) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2014-03-04 |