| NPI | 1528705480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105891) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2023-06-30 |