| NPI | 1760688345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS23031) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA lcsw23031) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-06-14 |