| NPI | 1407498116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 135777) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 135777) |
| 101YM0800X Counselor, Mental Health (Licence: CA 135777) | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2025-12-16 |