| NPI | 1790292373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW79072) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW79072) |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-12-18 |