| NPI | 1558758995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW100238) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW62521) |
| 104100000X Social Worker (Licence: CA ASW62521) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2021-09-23 |