| NPI | 1235623349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113324) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84088) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-11-11 |