| NPI | 1720635261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108288) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA LCSW108288) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-12-13 |