| NPI | 1033510995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW93470) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW73504) |
| 101YM0800X Counselor Mental Health (Licence: CA LCSW93470) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2024-03-06 |