| NPI | 1649335423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 67116) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 67116) |
| 1041C0700X Social Worker, Clinical (Licence: CA 11938) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2015-10-22 |