| NPI | 1417317157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95107) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW70286) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2023-09-15 |