| NPI | 1568861318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 90314) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927295) |
| 1041C0700X Social Worker, Clinical (Licence: CT 10902) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 8787-C) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2022-04-21 |