| NPI | 1588185607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78929) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-01-24 |