| NPI | 1811146673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CA 80921) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2019-04-29 |