| NPI | 1750559795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS5965) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCS5965) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2013-11-13 |