| NPI | 1376878462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75259) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW34424) |
| 104100000X Social Worker (Licence: CA ASW34424) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2024-11-26 |