| NPI | 1407327653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117704) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW92347) |
| 1041C0700X Social Worker, Clinical (Licence: CA 92347) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-08-29 |