| NPI | 1659049278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118955) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 86933) |
| 1041C0700X Social Worker, Clinical (Licence: CA 86933) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2026-08-20 |