| NPI | 1669720470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63245) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2019-12-02 |