| NPI | 1518591924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW113899) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA ACSW91645) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW) | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-03-08 |