| NPI | 1952591471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 65237) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 24818) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2016-01-06 |