| NPI | 1609365915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114752) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA 114752) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-04-19 |