| NPI | 1801938600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW LB 10288) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LB 10288) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-12-18 |