| NPI | 1609299957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83691) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 64137) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2019-01-11 |