| NPI | 1124501697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104320) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 80527) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2021-10-04 |