| NPI | 1255975546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 121323) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-05-31 |