| NPI | 1023651197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW95052) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW95052) |
| 1041C0700X Social Worker Clinical (Licence: CA ACSW95052) | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2024-11-21 |