| NPI | 1669998209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117871) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78793) |
| 1041C0700X Social Worker, Clinical (Licence: CA 78793) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2023-09-06 |