| NPI | 1891146270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 16210) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 88575) |
| 101YM0800X Counselor, Mental Health (Licence: CA 71442) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2019-12-03 |