| NPI | 1619172301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 80977) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 27950) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2019-12-18 |