| NPI | 1760811699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 79814) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2019-05-22 |