| NPI | 1073911954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW93054) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2026-01-22 |