| NPI | 1689122921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LCSW105928) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW72560) |
| 104100000X Social Worker (Licence: CA ASW72560) | |
| 1041C0700X Social Worker, Clinical (Licence: 105928) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2023-01-13 |