| NPI | 1790026185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 7414) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7414) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2025-12-08 |