| NPI | 1396150355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88886) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW68489) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-06-15 |