| NPI | 1891076378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 35252) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health (Licence: CA 35252) | |
| 101YS0200X Counselor School (Licence: CA 120018943) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2014-05-27 |