| NPI | 1922412071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100488) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90958) |
| 1041C0700X Social Worker, Clinical (Licence: NC P008770) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-04-20 |