| NPI | 1811478944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW110983) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 89389) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2022-11-01 |