| NPI | 1306269956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW125176) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94793) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2024-11-14 |