| NPI | 1386189454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 137341) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health (Licence: CA 137341) | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2026-05-27 |