| NPI | 1518202035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW118709) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW84406) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2023-11-08 |