| NPI | 1720463110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86806) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 68283) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-03-25 |