| NPI | 1275105421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW121036) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW102492) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2025-07-03 |