| 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 | 2024-06-17 |