| NPI | 1942433446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW21319) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2022-11-14 |