| NPI | 1477113793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW91901) |
| 104100000X Social Worker (Licence: CA 91901) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-10-07 |