| NPI | 1104484294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89485) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: 89485) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-05-03 |