| NPI | 1205395167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS20902) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA LEP2889) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-08-07 |