| NPI | 1861799801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW104591) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW73979) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2021-10-19 |