| NPI | 1952699209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 33524) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2016-10-05 |