| NPI | 1740842855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 89299) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 89299) |
| 1041C0700X Social Worker, Clinical (Licence: CA 114089) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-06-22 |