| NPI | 1689766164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 22298) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW22298) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-04-18 |