| NPI | 1477956720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103551) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW79866) |
| 104100000X Social Worker (Licence: CA ASW79866) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2021-09-30 |