| NPI | 1619256252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110655) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW # 30817) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2024-09-04 |