| NPI | 1104577394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW138328) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW105085) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2026-07-23 |