| NPI | 1801266226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97553) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97553) |
| 104100000X Social Worker (Licence: CA ASW72796) | |
| 104100000X Social Worker (Licence: CA 97553) | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2021-04-21 |