| NPI | 1659766863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127521) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 96174) |
| 101YM0800X Counselor, Mental Health (Licence: CA 96174) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-12-06 |