| NPI | 1053960245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 89288) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 89288) |
| 1041C0700X Social Worker Clinical (Licence: CA 89288) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2023-05-30 |