| NPI | 1245768480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW107282) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW85099) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2022-11-10 |