| NPI | 1417381526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW107775) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW64308) | |
| 101YM0800X Counselor, Mental Health (Licence: CA ACSW97931) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW107775) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2023-05-26 |