| NPI | 1730596644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ASW98744) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW98744) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2024-11-19 |