| NPI | 1407519606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 134290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 111995) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2025-10-03 |