| NPI | 1821485343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ACSW 66489) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2019-02-08 |