| NPI | 1568861219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA ASW63705) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA ASW63705) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2015-06-09 |