| NPI | 1164801403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS19549) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA LCS19549) |
| 1041S0200X Social Worker, School (Licence: CA LCS19549) | |
| 104100000X Social Worker (Licence: CA LCS19549) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2026-06-01 |