| NPI | 1568048783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA SC61629994) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 100164) |
| 1041C0700X Social Worker, Clinical (Licence: CA 100164) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2025-05-22 |