| NPI | 1912215138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70023) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 33399) |
| 104100000X Social Worker (Licence: CA 33399) | |
| 104100000X Social Worker (Licence: CA LCSW70023) | |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2019-04-16 |