| NPI | 1003448036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127723) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93421) |
| 1041C0700X Social Worker, Clinical (Licence: CA 93421) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-12-12 |