| NPI | 1205378155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW98397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101MY0800X-ACSW) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2023-04-25 |