| NPI | 1497113302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 99279) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 76603) |
| 104100000X Social Worker | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2021-01-06 |