| NPI | 1407498116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 93766) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 93766) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2023-10-10 |