| NPI | 1366995151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 117493) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 1041C0700X Social Worker Clinical (Licence: CA 79197) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2023-09-05 |