| NPI | 1336629567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101294) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW83483) |
| 104100000X Social Worker (Licence: CA ACSW83483) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2024-05-08 |