| NPI | 1275105421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW121036) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor (Licence: CA ASW102492) | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-02-22 |