| NPI | 1760848014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 91983) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 76219) |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2019-12-04 |