| NPI | 1659703957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 37000 ASW) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2025-06-04 |