| NPI | 1801100755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW# 64161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW30609) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2016-04-09 |