| NPI | 1538511829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95002) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW63411) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-05-02 |