| NPI | 1285203463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 93221) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: CA ASW93221) | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2024-08-06 |