| NPI | 1508982729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19956) |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW 25619) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-09-04 |