| NPI | 1821299454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25096) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 18768) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-02-02 |