| NPI | 1669037149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 22544) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 1683) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |