| NPI | 1912042375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20414) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 20414) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-01-04 |