| NPI | 1306201819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW85207) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW65977) |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW85207) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW65977) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2023-01-06 |