| NPI | 1811390644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 90333) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW72082) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2020-01-22 |