| NPI | 1386245694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117683) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 37930) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2024-03-21 |