| NPI | 1710648449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW98182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW98182) |
| 104100000X Social Worker (Licence: CA ASW98182) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-10-17 |