| NPI | 1578092375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 71257) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 1041C0700X Social Worker, Clinical (Licence: MT 64807) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-10-06 |