| NPI | 1619171238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW26046) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 18724) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2017-02-07 |