| NPI | 1497313654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW99739) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW817575) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW817575) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2023-02-02 |