| NPI | 1407498116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 93766) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93766) |
| 1041C0700X Social Worker, Clinical (Licence: CA 93766) | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2024-10-28 |