| NPI | 1487988085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW71770) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 31445) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2025-04-01 |