| NPI | 1720397995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW79727) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW79727) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW30799) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2023-08-14 |