| NPI | 1912259870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60995461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW62029) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW77894) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2022-06-14 |