| NPI | 1467805424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127708) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 104550) |
| 101YM0800X Counselor, Mental Health (Licence: CA 104550) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2024-12-13 |