| NPI | 1851771547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81781) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 66001) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2018-03-17 |