| NPI | 1386311512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW134204) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor (Licence: CA ASW109467) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2025-10-02 |