| NPI | 1275664930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129635) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA 94203) | |
| 1041S0200X Social Worker, School (Licence: CA 94203) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2025-04-22 |