| NPI | 1689955064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 89024) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2021-06-09 |