| NPI | 1669032397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW104826) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89544) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2026-02-18 |