| NPI | 1568897569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS20140) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LCS20140) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2023-04-25 |