| NPI | 1275052912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 79137) |
| 104100000X Social Worker (Licence: CA 79137) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2021-11-03 |