| NPI | 1093239402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102292) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 85433) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2025-11-05 |