| NPI | 1669808267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78303) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2021-03-30 |