| NPI | 1912287954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW59583) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2022-11-05 |