| NPI | 1811478217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW107791) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72241) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW107791) | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW107791) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-12-19 |