| NPI | 1134644040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW95779) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2025-08-05 |