| NPI | 1164838520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88224) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67202) |
| 1041C0700X Social Worker, Clinical (Licence: TX 106792) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-03-08 |