| NPI | 1720319247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76099) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 31435) |
| 104100000X Social Worker (Licence: CA 31435) | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2026-08-03 |