| NPI | 1720636541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ASW89657) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 89657) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-09-08 |