| NPI | 1659502383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 25616) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 25616) |
| 101YP2500X Counselor Professional (Licence: CA 25616) | |
| 101YS0200X Counselor School (Licence: CA 25616) | |
| 1041S0200X Social Worker School (Licence: CA 25616) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |