| NPI | 1932364098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 16600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS 16600) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2019-01-07 |