| NPI | 1720319247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 31435) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 31435) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2015-07-09 |