| NPI | 1831595495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 72907) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA asw25678) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2019-05-31 |