| NPI | 1760734271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 29659) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 30564) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2016-03-07 |