| NPI | 1326699224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 137818) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health (Licence: GA 99358) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 99358) | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2026-04-03 |