| NPI | 1063085322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 102367) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 102367) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW102367) | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-11-09 |