| NPI | 1710453949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 89686) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2019-09-20 |