| NPI | 1720688906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85855) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health (Licence: CA 85855) | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2023-01-26 |