| NPI | 1922441971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 75021) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: CA 75021) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2021-10-12 |