| NPI | 1932416633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 1041C0700X Social Worker, Clinical | |
| 104100000X Social Worker (Licence: CA ASW 65336) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2016-10-03 |